CATHY N KOUCHICH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005062

License Status

INACTIVE

Business

First Name

CATHY N

Last Name

KOUCHICH

Business Name

CATHY N KOUCHICH

Original Issue Date

10/05/1982

Effective Date

10/05/1982

Expiration Date

09/30/1990

City

FRONTENAC

State

Zip

55026

Ever Disciplined

LastModifiedDate

10/12/2005